Factors Associated with Mild Cognitive Impairment among Elderly Filipinos with Type 2 Diabetes Mellitus

Keywords: older persons, mild cognitive impairment, type 2 diabetes mellitus

Abstract

Objective. This study aims to identify factors associated with mild cognitive impairment (MCI) among elderly Filipinos with Type 2 diabetes mellitus.

Methodology. This is an analytic cross-sectional study involving 133 elderly (≥60 years old) with Type 2 diabetes mellitus consecutively sampled from the General Medicine and Diabetes Clinics of the Philippine General Hospital. Eligible subjects were interviewed to gather demographic and clinical data. Body mass index, waist-hip ratio and mean blood pressure were computed. HBA1c, lipid profile, creatinine and urine proteinuria were tested or recorded if done recently. Dilated fundus examination via indirect ophthalmoscopy and 10-gram monofilament test were performed to detect retinopathy and neuropathy. The Montreal Cognitive Assessment-Philippines tool was administered to detect patients with probable MCI using a cutoff score of ≤21. Multivariate logistic regression analysis was performed to determine the associated factors.

Results. Using MoCA-P tool, MCI has a rate of 45% among elderly Filipino diabetics. Having more than 12 years of education is significantly associated with lower odds of MCI. (OR 0.38 CI 0.18, 0.80, p value 0.010).

Conclusion. The rate of MCI among Filipino elderly diabetics is high. Higher education is associated with lower odds of having MCI. Case-control or prospective cohort studies involving larger sample and non-diabetic population are recommended.

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Author Biographies

Louren Blanquisco, University of the Philippines - Philippine General Hospital
Fellow-in-training, Section of Endocrinology, Diabetes and Metabolism
Joshua Emmanuel Abejero, University of the Philippines-Philippine General Hospital
Resident, Department of Neurosciences
Bonifacio Buno II, University of the Philippines-Philippine General Hospital
Resident, Department of Ophthalmology and Visual Sciences
Laura Trajano-Acampado, University of the Philippines-Philippine General Hospital
Consultant, Section of Endocrinology, Diabetes and Metabolism
Alvin Cenina, University of the Philippines-Philippine General Hospital
Consultant, Department of Neurosciences
Darby Santiago, University of the Philippines-Philippine General Hospital
Consultant, Department of Ophthalmology and Visual Sciences

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Published
2017-09-05
How to Cite
Blanquisco, L., Abejero, J. E., Buno II, B., Trajano-Acampado, L., Cenina, A., & Santiago, D. (2017). Factors Associated with Mild Cognitive Impairment among Elderly Filipinos with Type 2 Diabetes Mellitus. Journal of the ASEAN Federation of Endocrine Societies, 32(2), 145. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/418
Section
Original Articles